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200810193 I ` ' e. 2&z4oT NO. J NO. STREET ® ,P61.�,4 1 ', �FOR PLUMBING PERMIT �Y-OF CUPERTINO `j APR 5 1963 '' % sanitary No. Date 196— Permit No, =2,9 a ��JaY! OF QUPVTINO'Fee $ — Ap i a ion is here y ma e to the City of Cupertino for a permit to install plumbing pipes and/or fixtures listed on the reverse side hereof, and agrees to install said prices and/or -fixtures in accordance with the provisions of the Plumbing Code of_the City of s Cupertino;)5hd all other,l3ws%aplicable the et Use of Premises //wE2�:^ �� a i-.(/�li w' Oatrcr� : _ Address b J '`= Approved.♦, ' .•' PLUMBING UNITS FEES UNITS1 FEES Water lk"ter Size Water Closets Materia;' Bath Tubs To Curb Showers To Prop. 'Line Lavatories To Existing " Kitchen Sinks Not Conn. .y Dish Washers Sewer Boxes Waste Disposals Wash Trays STORM DRAINAGE " WAshing,Machines Size _ t Water Softene-rs, Material Bar Sinks - To Main Drain ` Comb. :Sink'&.Trays Dental Units,-; ' Drinking FountainsFloor Drains" - "ii �IHoppers Size Restaurant Sinks Material; ' Sand Trans. TOTAL FEES-.� xture sprinkler Vmves T IZ��' Water Sys. Pee ' ( n RECORD OF INSPECTION. ' .+$ Main Drain ; 11